Bradshaw, Ethel Ruth

Bradshaw, Ethel Ruth is an individual health care provider with primary practice located at 1892 West Memorial Hwy , Union Grove NC 28689-9049. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as her primary health care specialty. Bradshaw, Ethel Ruth can be contacted via phone (704) 539-4445.

Contact Information

Primary practice address
1892 West Memorial Hwy Union Grove NC 28689-9049
Phone: (704) 539-4445
Fax: (704) 539-4663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X

Profile Details

NPI number 1750618948
LBN Legal business name Bradshaw, Ethel Ruth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2009
Last updated Nov 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750618948 NPPES
North Carolina MEDICAID 7703861

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